In a gray cardboard box with a bow tie are memories from a life that was far too short. A funeral booklet, a crocheted blanket and an album of photos. MEMORY BOX: The memories they have of Olina are stored in a memory box the parents received in the neonatal intensive care unit. Photo: Christian Ziegler Remme / news Olina was only four days old. She died at Ullevål hospital on 1 July 2021, in her mother’s arms. – This is where I hold her when she is about to die, just before they disconnected the ventilator. At the same time, the first mother’s milk came flowing, says Guro Kvifte Nesheim. It has been a year and a half since she went through the trauma of her life. LAST MEETING: Guro Kvifte Nesheim holds his daughter in his arms for the first and last time. Photo: Christian Ziegler Remme / news – You don’t understand how you can get through something so brutal. Then I felt so bad for her because she didn’t get the life she was supposed to have. In the memorial words in the funeral booklet, the man Per Brehmer put into words the crisis he and Guro were in the middle of: – You came to life under dramatic circumstances, in a situation where a lot went wrong. (…) It is with bottomless sorrow that we are forced to move on. incomprehensible: Per Brehmer says he was sure they were in good hands. – That it should end like this is unimaginable. Photo: Christian Ziegler Remme / news – Experienced chaos The baby in the womb is healthy and the parents expectant, when it is decided that the birth will begin at Ullevål. The background is that the mother has incipient preeclampsia. Since Olina is in the breech position, they are told that they must be monitored extra closely when the birth starts. READY TO BIRTH: Here Guro lies in the hospital bed, just after the birth has started. Photo: private But the parents don’t feel that way. It’s a very busy night in labor with two other caesareans. – The situation was out of control. We had been promised a whole team there, but there was only one midwife calling around trying to get hold of people. She repeated; This is going fast, this is going fast, says Per. – It was extremely chaotic. It really felt like we were in a developing country, adds Guro. Guro gets so-called “storms”, which in this case lead to the baby not getting enough oxygen. They say that two doctors are in the delivery room to examine, but must quickly move on to other patients. Anti-seizure medication is not given. – I have a feeling that it is not dramatic enough, but then it turns out that our birth is actually the most dramatic, says Guro. When the alarm goes off, and Olina is taken out by emergency caesarean section, she is lifeless. It takes 18 minutes to revive her, but her brain is badly damaged. Four days later she dies. NEWBORN INCENSIVE: Here Olina is in the neonatal intensive care unit. At the beginning, it is unclear whether she can survive with the brain damage. Photo: private – A lot of things happened at the same time Oslo University Hospital reported the unexpected death to the National Health Inspectorate. It is very rare for babies to die as a result of birth when mother and child are healthy, and the birth is monitored at a hospital in Norway, according to the Norwegian Health Authority. – This is a matter we take very seriously. It is a completely unexpected outcome, says director of the Norwegian Health Authority, Ingerid Herstad Nygaard. Department director in the National Health Inspectorate, Ingerid Herstad Nygaard Photo: Ingvild Edvardsen / news – Were staffing problems one of the reasons why the baby died? – We have seen that there were simultaneous conflicts when this child died. We think that staffing challenges and concurrency conflicts played a role in this case. She emphasizes that it is difficult to assess the extent to which this played a role. TAPE: The parents were given four days with Olina before she died. Photo: private The hospital does not want to comment on the course of events, but writes in a separate report: A less busy ward would have meant that one and the same doctor could follow the entire course of the birth and possibly consider an earlier delivery. Guidelines were only partially followed with regard to commissioning. The woman was not vaginally examined despite increasing contractions, this goes against our guidelines, before she received another round of prostaglandins. Head of department at the maternity ward at OUS, Miriam Nyberg, says what happened was sad. – We have the deepest sympathy for the couple and what they have been through. Although this rarely happens, it does not mean that we do not take it very seriously. Head of department at the maternity department at OUS, Miriam Nyberg. Photo: OUS Per and Guro believe their story should be a wake-up call for maternity care in Norway. – It is unnecessary that a child had to die because too much happened. This indicates that the situation is not justifiable. When it first goes wrong, it goes to hell, says Guro Nesheim. They would like to point out that the criticism is not aimed at the doctors and midwives. – There are absolutely fantastic professionals in the maternity ward. If they had had time to do their job, it would have been fine. GRIEVING: The parents visit Olina’s grave at Gamlebyen cemetery Photo: Christian Ziegler Remme / news – Good enough capacity Head of department Miriam Nyberg says it is safe to give birth at OUS. – We have a lower birth rate than we have ever had before. This gives us a good capacity. We must look after the women who come to us in a good and responsible way. Following the incident, OUS introduced measures to prevent something similar from happening again. The Norwegian Health Authority has asked the State Administrator in Viken to monitor whether the measures are implemented and lead to change. – We know that maternity staff throughout the country is a challenge. It is a long-term work. At the same time, the hospital must look at what they can do when there is a lot going on, that they have routines to look after patients, says Ingerid Herstad Nygaard in the Norwegian Health Authority. Live life like three Nine months ago, little Salve entered the lives of Guro and Per. – You often hear that life is turned upside down when you have children. We experienced life being turned upside down when Olina came and died. When Salve came, life was turned right around again, says Per. MUSIC: Guro, who is a musician, likes to play a beat for father and son. – Now I can be in music again in the same way as before. Photo: Christian Ziegler Remme / news – Salve is a happy and wonderful little guy who has made life good. But he should have had an older sister alive, and there will always be a sadness for Olina, says Guro.
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– We experienced that the situation was out of control – news Norway – Overview of news from various parts of the country
